Medical Denials Specialist

TEKsystems; Orlando (FL); Remote; USD 30,000 - 34,000; Full time

Job summary

TEKsystems is seeking a Denials Strike Team Specialist to join our Revenue Cycle team. The role focuses on reducing aged accounts receivable and maximizing reimbursement by investigating and resolving denied or aging claims.

The ideal candidate will leverage Athena, payer portals, Excel, and Google Sheets to research denials, identify root causes, submit appeals, and drive resolution with minimal supervision.

Qualifications

• 6 months to 3 years of denials management experience in a healthcare provider environment.
• Experience with denied claims, accounts receivable, and reimbursement follow-up.
• Proficiency navigating payer portals to research denials and submit documentation.
• Experience using Athena for worklists, claim review, denials management and workflow execution.
• Strong analytical and investigative skills to determine why claims were denied and implement solutions.
• Advanced Excel/Google Sheets skills including formulas, sorting and data analysis.

Responsibilities

• Review aged accounts receivable, focusing on 80+ day aging buckets.
• Identify claims nearing timely filing deadlines and take corrective action.
• Investigate denied claims and determine root causes.
• Research payer guidelines and filing requirements for compliant resubmissions.
• Prepare and submit appeals, reconsiderations, and corrected claims.
• Use payer portals to obtain denial details, documentation, and claim status.
• Track work activity in Athena, Excel, and Google Sheets.
• Collaborate with Revenue Cycle and Billing teams to resolve complex issues.
• Reduce aged A/R and improve reimbursement outcomes.
• Prevent write-offs through proactive follow-up and resolution.

Skills

Analytical skills

Independent worker

Communication skills

Tools

Athena

Excel

Google Sheets

Payer portals

Job description

Denials Strike Team Specialist

Location: Remote/Hybrid (as assigned)

Pay Rate: $22.00 – $25.00/hour (based on experience)

Employment Type: 4 MonthContract

Position Overview

We are seeking a highly motivated Denials Strike Team Specialist to join our Revenue Cycle team and play a critical role in reducing aged accounts receivable and maximizing reimbursement recovery. This position focuses on investigating, resolving, and preventing denied or aging claims from timing out due to timely filing limitations.

The ideal candidate is an independent, proactive problem solver with strong analytical skills and a proven background in denial management within a provider environment. This individual will leverage Athena, payer portals, Excel, and Google Sheets to research denials, identify root causes, submit appeals and corrected claims, and drive claim resolution with minimal supervision.

Key Responsibilities

• Review and work aged accounts receivable, with a focus on 80+ day aging buckets.
• Identify claims approaching timely filing deadlines and take corrective action to prevent revenue loss.
• Investigate denied claims and determine the root cause of denial.
• Research payer guidelines, policies, and filing requirements to ensure compliant resubmissions.
• Prepare and submit appeals, reconsiderations, and corrected claims.
• Utilize payer portals to obtain denial details, supporting documentation, and claim status information.
• Track and maintain accurate work activity within Athena, Excel, and Google Sheets.
• Collaborate with Revenue Cycle and Billing teams to resolve complex claim issues.
• Reduce aged A/R inventory and improve reimbursement recovery outcomes.
• Prevent avoidable write-offs through proactive follow-up and issue resolution.
• Build and maintain positive working relationships with payer representatives to facilitate claim resolution.

Required Qualifications

• Minimum 6 months to 3 years of denials management experience within a healthcare provider environment.
• Experience working with denied claims, accounts receivable, and reimbursement follow-up.
• Proficiency navigating payer portals to research denials and submit supporting documentation.
• Experience utilizing Athena for worklists, claim review, denials management, and workflow execution.
• Strong analytical and investigative skills with the ability to independently determine why claims were denied and implement solutions.
• Advanced proficiency with Excel and/or Google Sheets, including:
• Formulas
• Sorting and filtering
• Data analysis functions
• Comfortable working within a Mac-based environment utilizing dual monitors.
• Excellent verbal and written communication skills.
• Strong organizational and time management abilities with the capability to prioritize workload effectively.
• Proven ability to work independently with minimal oversight and take ownership of claim resolution from start to finish.

Preferred Qualifications

• Experience with:
• Excel Pivot Tables
• VLOOKUPs and advanced spreadsheet functions
• Medicaid and commercial payer claim processing
• Aging reports and denial analytics
• Familiarity with AI tools and technology solutions.
• Experience with alternative healthcare billing models, including membership-based services.
• Process improvement mindset with the ability to identify workflow efficiencies.
• Experience developing training materials, workflows, or operational procedures.

Ideal Candidate Profile

• Take initiative and solve problems independently.
• Be highly reliable and accountable for deadlines and deliverables.
• Thrive in a fast-paced, evolving environment.
• Demonstrate strong professional communication in both internal and payer-facing interactions.
• Possess a sense of urgency when addressing aging claims and reimbursement challenges.
• Consistently seek solutions rather than escalating routine issues.

Why Join Us?

This is an opportunity to make an immediate impact on revenue recovery efforts while working alongside a collaborative Revenue Cycle team. If you enjoy researching complex claim issues, navigating payer requirements, and driving measurable financial results, we encourage you to apply.

Pay Rate: $22.00/hour for candidates with foundational denials experience; up to $25.00/hour for candidates with advanced denials management experience and a proven track record of claim resolution.

Job Type & Location

This is a Contract position based out of Orlando, FL.

Pay and Benefits

The pay range for this position is $22.00 – $23.00/hr.

Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: Medical, dental & vision Critical Illness, Accident, and Hospital 401(k) Retirement Plan Pre-tax and Roth post-tax contributions available Life Insurance (Voluntary Life & AD&D for the employee and dependents) Short and long-term disability Health Spending Account (HSA) Transportation benefits Employee Assistance Program Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a fully remote position.

Application Deadline

This position is anticipated to close on Oct 15, 2026.

About TEKsystems

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.